Service Request Form

Customer needs vary considerably, and with that, the complexity varies. The best way to price a job is to get specifications up front (however informal or formal you want to be). To that end, here are some of the items that need to be considered:

  • Do you already have your own domain name? (www.yourname.com)
  • Do you already have a web site and just need it updated?
  • Do you have a Web Hosting company or want me to find one for you - handle it all as a "black box" for you?
  • Will your site be mostly static (descriptive pages telling others about your company) or will they be dynamic - requiring interaction and data collection, or using database technology?
  • Will your site require security (e.g. User ID and Password)?

These and other questions need to be answered to properly size a job.

Initial consultation is free.

Fill out requirements form so we can get started on your new web site!


Questions with an * are required.


About You *
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Describe your Web Site Requirements














Domain Name and Web Hosting




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